HSE COVID-19 Testing & Contact Tracing Update 5th Of November 2020
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HSE COVID-19 Testing & Contact Tracing Update 5th Of November 2020
1) Performance of the testing infrastructure
Testing and Contact Tracing Headlines – Over 1,667,415 tests completed to date
1.8 days 1 day 89,500+ 87,000+ 19,830+
Median end-to-end turn
around time from referral to Median Total number of laboratory Total number of Contact
Total Swabs Tracing calls made this
communication of result in Swab taken to lab result tests completed this week
community settings week
Note: The above TaT and volume metrics refer to the seven day date range from Tuesday 27 th of October – 2nd of November
Performance of the Testing Infrastructure (1/2)
The following metrics and turnaround times refer to the seven days from 27 th October- 2nd November.
Swabbing
• We took c.89,502 swabs samples this week – meeting all demand including serial testing.
• This total swabbing figure includes approximately 48,205 taken in the community, 20,844 taken in hospitals and 20,453 taken as part of serial testing of staff in food
plants and healthcare workers in residential care facilities.
• In the last week, we have had 33 testing centres in operation, with 4 pop up testing sites also in operation.
• Pop up centres are in operation in Carlow town, Donegal town, Sandyford in Dublin, South Douglas Street Centre in Cork
• Community testing requirements have decreased by 10% over the last 6 weeks. A decrease has also been seen of 37% in the last week
• 92% of GP referrals result in swabs being taken the same day or next day.
Laboratories
• Laboratories processed 87,001 tests across our network of 46 labs.
• The average detected rate over the past week is approximately 4.7%, this is a decrease of 1% since this time last week.
Contact Tracing
• Contact tracing is carried out in HSE Galway, HSE Kells, HSE Cork, Defence forces Cork, Defence forces Athlone, Defence forces Dublin, Revenue Commissioners
Limerick and UCD
• Our Contact Tracing teams across Public Health and CTCs completed over 19,839 phone calls in the last week
• Close contacts average at 3.6 per person
• Incorrect phone numbers being provided and multiple calls being required to get through to people is adding to CTC workload and impacting turnaround.
Performance of the Testing Infrastructure (2/2) The following metrics and turnaround times refer to the 7 day period from 27th of October- 2nd of November. Turnaround • Swab to lab result for community and acute settings is 1 day. • Over 92% of people receive their test result in less than 48 hours from swabbing appointment – with 75% in less than 36 hours • All contact tracing is completed within 0.8 days (median). Our target here is 1 day. • In the last seven days, we have delivered a median turnaround time from referral to communication of result in community settings of 1.8 days • It is important to note that approximately 95.3% of all tests that are processed are not detected and in the last 7 days, approximately 4.7% of all tests were detected. Process and system improvements are being made continuously to meet increasing capacity requirements, to improve data quality and optimise turnaround times.
2) Testing Programmes
Serial Testing of All Staff in Residential Care Facilities (RCFs) for Older Persons
We are currently progressing through cycle 4 of the serial
testing programme in RCFs.
To date;
574 facilities have been tested to date
265,886 tests have been completed
756 detected cases identified (0.28% detected
rate)
Cycle 4;
569 facilities have been tested to date
46,527 tests have been completed
252 detected cases identified (0.54% detected rate)
Serial Testing of All Staff in food production facilities
We are currently progressing through cycle 4 of the serial
testing programme in food production facilities
To date;
84 facilities have been tested
43,235 tests have been completed
201 detected cases identified (0.46% detected
rate)
Cycle 2;
68 facilities have been tested to date
13,534 tests have been completed
80 detected cases identified (0.59% detected rate)Serial Testing of staff and residents at direct provision sites
We have previously completed a full sweep of testing of
staff and residents at direct provision sites
To date;
68 facilities have been tested to date
3,326 tests have been completed
18 detected cases identified (0.54% detected
rate)Monitoring COVID-19 in schools
School Facilities
• As of November 3rd, testing is currently ongoing or has been completed
in 657 schools.
• c.17,167 staff/students have been identified and are undergoing Day 0
and/or Day 7 testing.
• Of these, 444 detected cases have been identified. This is a detected
rate of 2.6%.
Childcare Facilities
• As of November 3rd, testing is currently ongoing or has been completed
in 174 childcare facilities.
• c.3,566 staff/students have been identified and are undergoing Day 0
and/or Day 7 testing.
• Of these, 190 detected cases have been identified. This is a detected
rate of 5.3%.
To note: When reporting on schools to date school facilities and childcare facilities had been grouped together, these types of services have now ben separated out for reporting purposes.
.3) Demand Management
Community demand over the past 6 weeks
Trend in community demand
Demand for testing in the community 80000
10% has decreased by 10% in the last six
70000
weeks.
60000
Last week saw a c.37% decrease from
50000
37% the previous week in demand for
testing. 40000
30000
In parallel the following testing programmes are ongoing which are not
20000
presented in the graph;
10000
Tested staff in RCFs for Older Persons
(tested over 15,464 staff from 28th of October- 1st of 0
21st-2th Sept 28th Sept - 4th 05th - 11th Oct 12th -18th Oct 19th - 25th Oct 26th Oct - 1st Nov
November) Oct
Sunday Saturday Friday Thursday
Tested staff at food plants (tested over 3,962 food plant
Wednesday Tuesday Monday Total
facility staff from 28th of October- 1st of November)Contact tracing volumes over the past 6 weeks
We continue to monitor the number of calls
which are made by our contact tracing
centres each week. Total Contact tracing calls
45000
41552
40000
35000
30000 27726
25000 22984
The volume of calls has increased by
0.8 20000 18124
19,839
a factor of 0.8 in the last six weeks. 15786
15000
10000
Last week saw a c.50% decrease
5000
50% from the previous week in the number
0
of contact tracing calls made. 22nd - 28th 29th Sept -5th 6th - 12th Oct 13th -19th Oct 20th - 26th Oct 27th Oct - 2nd
Sept Oct NovClose contacts Trend
Average number of close contacts trend
Average no of close contacts
• Six weeks ago, the average number of close 6
contacts was approximately 5.5 close 5
contacts.
4
• This week we continue to see a slight drop in 3
the average number of close contacts, on
2
average those who have received a detected
COVID 19 result have had 3.7 close contacts. 1
0
22nd - 28th 29th Sept -5th 6th - 12th Oct 13th -19th Oct 20th - 26th Oct 27th Oct - 2nd
Sept Oct NovForecast Lab Demand
Forecasted lab demand
Over the past week, the community demand 25000
for testing has dropped significantly. There is
no clear trend for current demand for 20000
community testing nor is it clear what impact
level 5 restrictions will have as of yet. For the 15000
purpose of this projection it is forecasted that
10000
community demand will remain the same.
5000
We are continuously monitoring this demand,
0
which changes hourly, and implementing all 5th Nov 6th Nov 7th Nov 8th Nov 9th Nov 10th Nov 11th Nov
possible mitigations to ensure end to end
turnaround time remains within our target of
Community AcuteInterpreting the latest trends
Decreasing trends
• From monitoring our test and trace data, we can see a decrease in a
number of test and trace trends.
• We must exercise caution when interpreting these, we have seen that as
the country has opened up previously the demand for our test and trace
services, detected rate and number of close contacts has risen.
Planning ahead – (staffing)
• The HSE is using this time to focus efforts on ramping up resources
across our test and trace system.
• By the end of this week a total of 320 new people will have been
onboarded to date to carry out swabbing activities at our community
testing sites. This is in additional to the 850 staff already deployed to
swabbing.
• By the end of this week, we will have 420 new contact tracers onboarded.
A further 70 contact tracers are expected to be onboarded next week. This
is in additional to the staff we already have assigned to the contact tracing
service.
• All of these new staff form part of our dedicated testing and tracing
workforce4) Building agility into the test and trace system
Additional supports to enhance schools testing pathway
The HSE is working closely with the Department of
Education in order to continue to strengthen the schools
testing pathway.
These enhancements include the following;
1. A dedicated phone line for school Principals to contact
public health teams with any questions/ queries
2. Increased resourcing of the schools testing teams in
each Public Health Department
3. Close contact appointments associated with a school
appointed as priority testing.COVID App Tracker – latest release
• The COVID Tracker app currently has 1.32 million users and
has sent close contact alerts to 8.2k people, allowing them to
restrict their movements quickly and get receive access to
testing.
• The latest release of the COVID tracker App has been launched
with a new feature specifically developed for healthcare
workers. The new feature allows the user to pause contact
tracing for a period and will thereafter send you a reminder to
switch the function back on.
• It is recommended that if a healthcare worker is wearing
appropriate PPE when providing care to patient that this feature
is paused. Using this functionality to pause contact tracing will
ensure that healthcare workers don’t receive close contact
notifications for periods of time when they are wearing
appropriate PPE.
Read more about the COVID Tracker App here.Conclusion
Our median turnaround time from referral to communication of result, for detected and not
detected tests over the past seven days in community settings is 1.8 days.
In the last week, we have seen a decrease in demand for community testing, by
approximately 37% from this time last week.
We have reached over 1,667,415 lab results completed to date as of 2nd of November.
We continue to build agility in our system to meet the increasing community demand,
examples of this include a nationwide recruitment campaign for swabbers and contact
tracers, standing up temporary swabbing sites and making process improvements to our end
to end test and trace system.You can also read
